Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.00 / $458.10 / $593.46	Professional		$411.00	$458.10	$593.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $458.70 / $476.01 / $476.01	Professional		$458.70	$476.01	$476.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,151.00 / $4,475.84	Facility		$500.00	$2,151.00	$4,475.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.66 / $568.42 / $973.76	Professional		$418.66	$568.42	$973.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,031.25 / $1,031.25 / $1,031.25	Facility		$1,031.25	$1,031.25	$1,031.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $554.59 / $711.17 / $920.28	Professional		$554.59	$711.17	$920.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $422.00 / $536.19 / $2,367.14	Professional		$422.00	$536.19	$2,367.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $519.00 / $519.00 / $519.00	Facility		$519.00	$519.00	$519.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $617.20 / $1,154.59	Professional		$7.00	$617.20	$1,154.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,109.00 / $4,259.02	Facility		$500.00	$2,109.00	$4,259.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $429.00 / $562.55 / $973.76	Professional		$429.00	$562.55	$973.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $419.22 / $448.95 / $448.95	Facility		$419.22	$448.95	$448.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $419.22 / $448.95 / $473.13	Professional		$419.22	$448.95	$473.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.63 / $530.15 / $890.40	Professional		$409.63	$530.15	$890.40